| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,236 |
1,189 |
$65K |
| 92015 |
Determination of refractive state |
2,229 |
2,161 |
$39K |
| 92060 |
|
1,672 |
1,604 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
702 |
641 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
329 |
322 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
41 |
$2K |
| 92136 |
|
216 |
189 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
29 |
28 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 92133 |
|
26 |
24 |
$262.52 |
| 92083 |
|
13 |
12 |
$185.94 |
| 99072 |
|
50 |
50 |
$0.00 |